PAINTBRUSH DENTAL, PC (NPI# 1982932265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982932265 |
| Entity Type | Organization |
| Organization Name | PAINTBRUSH DENTAL, PC |
| Practice Address |
110 E Arapahoe St Thermopolis WY 82443 |
| Mailing Address |
110 E Arapahoe St Po Box 751 Thermopolis WY 82440-0751 |
| Practice Telephone | 3078649411 |
| Practice Fax Number | 3078642756 |
| Mailing Telephone | 3078649411 |
| Mailing Fax Number | 3078642756 |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | DR. LEIF A POLSON (OWNER) |
| Authorized Official Telephone | 3078649411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
1222 | WY | Ambulatory Health Care Facilities |
| Street Address |
110 E ARAPAHOE ST |
| City | THERMOPOLIS |
| State | WY |
| Zip Code | 82443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790737005 | Leif Andrew Polson | Dentist | 110 E Arapahoe St, Thermopolis, WY 82443-2402 | 2006-05-16 |
| 1154492601 | William Dwight Robinson | Dentist | 110 E Arapahoe St, Thermopolis, WY 82443-2402 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992938419 | Garry Freel | Case Manager/Care Coordinator | 844 Richards St., Thermopolis, WY 82443 | 2009-09-01 |
| 1467600783 | Jantina Anna Manning | Speech-Language Pathologist | 130 Highway 20 South, Thermopolis, WY 82443 | 2008-08-28 |
| 1982882924 | Glenn E Bishop | Chiropractor | 526 Big Horn, Thermopolis, WY 82443 | 2008-02-01 |
| 1801080874 | Karen April Leyba | Speech-Language Pathologist | 1025 Shoshoni Rd, Thermopolis, WY 82443 | 2007-08-31 |
| 1043403199 | Marcia Ann Nelson | Occupational Therapist | 1025 Shoshoni, Childrens Resource Center, Thermopolis, WY 82443 | 2007-08-22 |
| 1639217144 | Northwest Wyoming Boces | Residential Treatment Facility, Emotionally Disturbed Children | 250 East Arapahoe Street, Thermopolis, WY 82443 | 2007-02-05 |
| 1144368366 | Guy C Drake | Dentist | 110 E Arapahoe, Thermopolis, WY 82443 | 2007-02-01 |
| 1245719475 | Mitchell F Volin | Physician Assistant | 120 N C Ave, Thermopolis, WY 82443 | 2018-08-08 |
| 1639586571 | Mary Margaret Brown | Dentist | 110 E Arapahoe, Thermopolis, WY 82443 | 2014-07-11 |
| 1679813554 | Joseph B. Stringer | Counselor | 121 S 4th St, Thermopolis, WY 82443 | 2013-02-28 |
| Find all providers in zip 82443 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 1497394068 | Star Valley Dental 1 LLC | Clinic/Center | 725 N Washington St, Afton, WY 83110-1390 | 2019-12-31 |
| 1467090571 | Scott Dental LLC | Clinic/Center | 1212 S. River Street, Saratoga, WY 82331 | 2019-12-19 |
| 1508322603 | Blacks Fork Dental, PC | Clinic/Center | 650 Parkway Dr, Mt View, WY 82939 | 2019-02-13 |
| 1033699533 | Oak Haven Dental | Clinic/Center | 8125 State Highway 789, Lander, WY 82520-2926 | 2018-08-15 |
| 1801337902 | Dental Arts PC | Clinic/Center | 3421 E Garfield St, Laramie, WY 82070-5163 | 2017-03-09 |
| 1669916334 | Braces U Wyoming PC | Clinic/Center | 6900 Yellowtail Rd Ste 100, Cheyenne, WY 82009-6102 | 2016-12-14 |
| 1972863207 | Bingham Endodontics, Pllc | Clinic/Center | 610 W. Broadway Ave, Jackson, WY 83001 | 2012-05-21 |
| 1003069865 | Wyoming Cosmetic and Family Dental | Clinic/Center | 4620 Grandview Ave, Cheyenne, WY 82009-4963 | 2008-10-24 |
| 1467561167 | Bozeman Trail Orthodontics PC | Clinic/Center | 932 South David St, Casper, WY 82601 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
| City | THERMOPOLIS |
| Zip Code | 82443 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.